Organization
EASTGATE CHIROPRACTIC CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT V HART D.C. (PRESIDENT)
(318) 222-6297
Entity
Organization
Contact information
Practice address
1520 N HEARNE AVE, SUITE 103, SHREVEPORT, LA 71107-7155
(318) 222-6298
(318) 222-6299
Mailing address
1520 N HEARNE AVE, SUITE 103, SHREVEPORT, LA 71107-7155
(318) 222-6298
(318) 222-6299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
973
LA
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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